Validation of the key informant method to identify children with disabilities: methods and results from a pilot study in Bangladesh.

Abstract:

PURPOSE:To assess whether the key informant method (KIM) is an effective method to identify children with disabling sensory or physical impairments, or epilepsy (tonic-clonic seizures), in a low-income setting. METHODS:In one subdistrict each, the Key Informants (KIs) were trained to recognize children with visual impairment, hearing impairment, physical impairment and epilepsy, respectively. In the fifth subdistrict, the KIs were trained to recognize all four conditions. RESULTS:Of the 2260 children identified by KIs, 1227 attended for examination (54%), of which 911 were diagnosed to have a disabling impairment (74%). KIM had a high sensitivity (average 98%) for case detection in all groups but specificity was lower (average 44%), particularly for hearing impairment. CONCLUSIONS:KIs were able to identify children with epilepsy, sensory and physical impairments. KIM is an effective and low-cost method to identify children with disability in a low-income setting.

journal_name

J Trop Pediatr

authors

Mackey S,Murthy GV,Muhit MA,Islam JJ,Foster A

doi

10.1093/tropej/fmr094

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

269-74

issue

4

eissn

0142-6338

issn

1465-3664

pii

fmr094

journal_volume

58

pub_type

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